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[经颅多普勒超声及硝酸甘油试验对颈内动脉闭塞患者脑血流动力学的功能评估]

[Functional evaluation of cerebral hemodynamics using transcranial dopplerography and nitroglycerin test in occlusion of the internal carotid artery].

作者信息

Barkhatov D Iu, Dzhibladze D N, Nikitin Iu M

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1998;98(1):31-2.

PMID:9505401
Abstract

42 patients with one-sided atherosclerotic occlusion of internal carotid artery (ICA) out of acute stage of stroke were examined by means of method of transcranial dopplerography with application of nitroglycerin test. Unstable course of the disease with development of repeated ischemic disorders of cerebral circulation were found in most of the patients with decreased hemodynamic reserves in homolateral hemisphere. Differences revealed were statistically significant. It was established by means of nitroglycerin test that the decrease of pike systolic linear rate of blood flow through the median cerebral artery on the side of ICA occlusion less than 10% was the sign of unstability of cerebral circulation and could serve as an indication for surgical correction of the circulation.

摘要

采用经颅多普勒超声检查法并应用硝酸甘油试验,对42例处于脑卒中急性期后、一侧颈内动脉(ICA)发生动脉粥样硬化性闭塞的患者进行了检查。在大多数患侧半球血流动力学储备降低的患者中,发现病情呈不稳定病程并伴有反复的脑循环缺血性障碍。所揭示的差异具有统计学意义。通过硝酸甘油试验确定,ICA闭塞侧大脑中动脉的峰值收缩期血流线性速率下降小于10%是脑循环不稳定的征象,可作为循环系统手术矫正的指征。

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